Michael J Fleming

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 00001709 Issued in WA

Legal business name

MICHAEL J FLEMING

Practice address

621 State Route 9 NE
Lake Stevens, WA 98258-8525

Phone

(425) 239-5757

Fax

(866) 755-2856

NPI assigned

Jun 11, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gayle L Lamond

Title

Billing Person

Phone

(425) 239-5757

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1245551399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 STATE ROUTE 9 NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588525",
            "telephone_number": "425-239-5757",
            "fax_number": "866-002-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 STATE ROUTE 9 NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588525",
            "telephone_number": "425-239-5757",
            "fax_number": "866-755-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J FLEMING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "LAMOND",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING PERSON",
        "authorized_official_telephone_number": "425-239-5757"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 00001709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038578",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacy Colleen McFalls, LMP
• Leslie Joy McManus, SLP
• Tania Melville, RX TECH
• Tiffany Mendonca
• Ashley Menzies, OTR/L
• Michael J Fleming OD LLC
• Jordynn Mackenzie Midkiff
• Mill Creek Spine and Injury, Inc., P.S.
• Anna Mobley, ICCE, CLC
• Momentum Clinic

• Optometrist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.